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This dual action helps maintain balance in cells and supports healing

difficulty breathing) Symptoms of diabetic ketoacidosis (DKA): vomiting, abdominal pain, rapid breathing, confusion, or fruity-smelling breath Contact your GP promptly if you experience: Unexplained fatigue, joint pain, or swelling that may suggest an inflammatory condition Significant unintentional weight gain or difficulty managing your weight despite lifestyle changes Symptoms of poorly controlled diabetes, such as excessive thirst, frequent urination, or blurred vision Any concerns about medicines you may have sourced independently Further information on NHS weight management services and diabetes symptoms is available on the NHS website (nhs.uk)

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This might include metformin optimization, addition of SGLT2 inhibitors (particularly beneficial for those with cardiovascular disease, heart failure, or chronic kidney disease), DPP-4 inhibitors, or other agents depending on your individual clinical profile and contraindications